Organization Active NPI

Kinfolk NC ABA LLC

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1871346189
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
KINFOLK NC ABA LLC
Practice address
301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623
Phone
(980) 249-4010
Fax
(980) 249-4011
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Zishe Rubin
Title
Owner
Phone
(917) 246-8382

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623

Mailing address

301 S McDowell St Ste 125-2049
Charlotte, NC 28204-2623
Phone (980) 249-4010

National Provider Directory

National Provider Directory

Locations

301 S McDowell St
Ste 1252049
Charlotte, NC 28204
Phone (980) 249-4010

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1871346189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-2049",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-249-4010",
            "fax_number": "980-249-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-2049",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "980-249-4010",
            "fax_number": "980-249-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINFOLK NC ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "ZISHE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-246-8382"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.